出生證明書英譯參考

　

正反兩面　所有欄位連同章印都要翻譯

　

【正面】

　

Name of the Infant :



CERTIFICATE OF BIRTH

File Series No.



Relationship Father Mother

Name :

Date of Birth :

Native Place :

Address of Household Registration:

ID Card No. :

Occupation :

Location of Job :

Job Description and Title :



Infant's Sex :

Number of live births to this mother (included this one) :

Duration of Pregnancy (No. of weeks) :

Weight at birth :

Single or multiple births :

Date of Birth :

Address & Place of Birth :

Delivered by : Hospital / Clinic / Midwifery / Home / others

Physician / Midwife / others

Special symptom of birthgiving mother & infant before & after childbirth seen in medical diagnose :



This is to certify that the above-mentioned facts are true and correct



Name of Physician : (with seal)

Physician License No. :

Name of Hospital : (with seal)

Medical Practice License No.:

Address :

Dated :



【背面】

　

This copy is completely identical with the original document.



CERTIFIED by

the Household Registration Office, xxx Town, xxx County (with seal)

Director : xxx

month day, year



xxx County xxx Town Registration No. (x) xxxxxx

　

　

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